Individual
TAREQ MOH'D ALI ABU SHARIFEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1167
(409) 747-9163
(409) 747-9327
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1167
(409) 747-9163
(409) 747-9327
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L8253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447200308
BCBS OF TX
TX
05
—
166276901
—
TX
05
—
166276903
—
TX
01
—
8X6789
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
P00467136
RR MEDICARE
TX
Enumeration date
05/11/2006
Last updated
12/02/2019
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